Early Psychosis Intervention in Routine Service Environments: Implications for Case Management and Service Evaluation

摘要: Although there are a number of demonstration early psychosis intervention (EPI) programs, comprehensive procedures for implementing EPI in routine community service environments have not been published. The present study describes the introduction and evaluation specialized program Australian urban mental health service. was supported by enhancement funding 18 months (December 1995 to June 1997) consisted four full-time staff two quarter-time consultant psychiatrists who worked an Assertive Community Treatment team framework. Of 161 referrals, 149 were assessed 70 clients actively treated. Clients showed statistically significant short-term (3–6 months) improvements on all outcome instruments. Detection retention rates appeared be better than those adjacent that used case-manager-implemented protocol but without additional resources or dedicated staff. Preliminary results medium-term (3–4 years) follow-up indicated social, vocational, function greatly improved. authors concluded appropriate level treatment required is only possible if models case management long-term commitment support as function. Recommendations successful discussed.